LCDR K. Immerman, MC USNR
To the Editor: Hahn and colleagues (1) on the doctor-patient-family relationship are to be commended for acknowledging and discussing the dysfunctional situations that may underlie the behavior of patients. Also important is their recognition of patients' unreasonable demands that place physicians in difficult positions. I would disagree, however, with the authors' suggestions that the primary physician draw in the family and focus on the patient's dysfunctional behavior within the family unit. The primary physician should concentrate on the patient and on the patient's responses to the demands made on him or her. For example, the pregnant diabetic patient who insists
Immerman LK. Doctor, Patient, and Family. Ann Intern Med. ;110:412–413. doi: 10.7326/0003-4819-110-5-412_2
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Published: Ann Intern Med. 1989;110(5):412-413.
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